Provider Demographics
NPI:1952336646
Name:SCHAFFHAUSEN, JOSEPH L (D C)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:SCHAFFHAUSEN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10115 FOLSOM BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-1902
Mailing Address - Country:US
Mailing Address - Phone:916-368-7041
Mailing Address - Fax:
Practice Address - Street 1:10115 FOLSOM BLVD STE 101
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-1902
Practice Address - Country:US
Practice Address - Phone:916-368-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15373111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0153730Medicare ID - Type Unspecified